| Internal Medicine Associates Of Santa Rosa Medical Group Inc | |
|
500 Doyle Park Dr G03 Santa Rosa CA 95405 | |
| (707) 544-3411 | |
| (707) 544-0834 |
| Full Name | Internal Medicine Associates Of Santa Rosa Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 Doyle Park Dr, Santa Rosa, California |
| Authorized Official Name and Position | Bruce N Tucker (PRESIDENT) |
| Authorized Official Contact | 7075443411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Associates Of Santa Rosa Medical Group Inc 500 Doyle Park Dr G03 Santa Rosa CA 95405 Ph: (707) 544-3411 | Internal Medicine Associates Of Santa Rosa Medical Group Inc 500 Doyle Park Dr G03 Santa Rosa CA 95405 Ph: (707) 544-3411 |
| NPI Number | 1548237175 |
|---|---|
| Provider Enumeration Date | 03/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548237175 | NPI | - | NPPES |
| CJ3211 | Other | RR MCR | |
| GR0044960 | Medicaid | CA | |
| ZZZ058282 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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